Diabetes care: Opinions, needs and proposed solutions of Swiss patients and healthcare professionals: A qualitative study

摘要

Aims: To explore, both among patients with diabetes and healthcare professionals, opinions on current diabetes care and the development of the " Regional Diabetes Program" Methods: We employed qualitative methods (focus groups - FG) and used purposive sampling strategy to recruit patients with diabetes and healthcare professionals. We conducted one diabetic and one professional FG in each of the four health regions of the canton of Vaud/Switzerland. The eight FGs were audio-taped and transcribed verbatim. Thematic analysis was then undertaken. Results: Results showed variability in the perception of the quality of diabetes care, pointed to insufficient information regarding diabetes, and lack of collaboration. Participants also evoked patients' difficulties for self-management, as well as professionals' and patients' financial concerns. Proposed solutions included reinforcing existing structures, developing self-management education, and focusing on comprehensive and coordinated care, communication and teamwork. Patients and professionals were in favour of a " Regional Diabetes Program" tailored to the actors' needs, and viewed it as a means to reinforce existing care delivery. Conclusions: Patients and professionals pointed out similar problems and solutions but explored them differently. Combined with coming quantitative data, these results should help to further develop, adapt and implement the " Regional Diabetes Program"